Provider Demographics
NPI:1063762730
Name:WERNETTE, BRADLEY RAYMOND (PA)
Entity type:Individual
Prefix:MR
First Name:BRADLEY
Middle Name:RAYMOND
Last Name:WERNETTE
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Gender:M
Credentials:PA
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Mailing Address - Street 1:514 MISTY MORNING DR
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:MI
Mailing Address - Zip Code:48433-2192
Mailing Address - Country:US
Mailing Address - Phone:810-241-1317
Mailing Address - Fax:
Practice Address - Street 1:1375 N MAIN ST
Practice Address - Street 2:
Practice Address - City:LAPEER
Practice Address - State:MI
Practice Address - Zip Code:48446-1350
Practice Address - Country:US
Practice Address - Phone:810-667-5869
Practice Address - Fax:810-667-5726
Is Sole Proprietor?:No
Enumeration Date:2012-09-10
Last Update Date:2013-06-17
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical